NPI | 1801271903 |
---|---|
Doing Business As | HOPEHEALTH DENTAL IRBY |
Other Name | HOPEHEALTH IRBY |
Entity Type | Organization |
Authorized Contact | MARK VINSON CFO 843-656-0353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2015-07-30 |
Last Update Date | 2024-08-30 |